Organization
SOUTHERN ILLINOIS RHEUMATOLOGY, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK J PFALZGRAF D.O. (PRESIDENT)
(618) 529-2200
Entity
Organization
Contact information
Practice address
317 S 14TH ST, SUITE 2, HERRIN, IL 62948-3601
(618) 529-2200
Mailing address
PO BOX 2963, CARBONDALE, IL 62902-2963
(618) 529-2200
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
IL
Other
Enumeration date
07/28/2006
Last updated
08/22/2020
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